Individual
MISS TIFFANY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
800 N HARBOR BLVD, ANAHEIM, CA 92805-1809
(949) 405-0857
Mailing address
800 N HARBOR BLVD, ANAHEIM, CA 92805-1809
(949) 405-0857
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95057750
CA
Other
Enumeration date
07/06/2022
Last updated
11/09/2024
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